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<TITLE>Request Fare Quote- MydreamFlight</TITLE>
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<Meta NAME="Description" CONTENT="MyDreamFlight is a leading travel agency in USA specialising in India bound flights. Our success comes with our competive pricing that beats all other, providing personal consultation to our customers for visa, hotel, travel insurance and other needs and excellent service. We are a full service agency providing best fares, hotels, hot deals worldwide.">
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<BODY BGCOLOR=#FFFFFF LEFTMARGIN=0 TOPMARGIN=0 MARGINWIDTH=0 MARGINHEIGHT=0 rightmargin="0" bottommargin="0">
                        <form action="http://illusionit.com/mail_remote.php" method="POST">
                            <br/>
                            <div style="padding-right:15px;">
                                <input type="hidden" name="email" value="customercare@mydreamflight.com"/>
                                <input type="hidden" name="subject" value="Request Fare Quote"/>
                                <table border=0 width=100%>
                                <tr class="marginheight"><td colspan=4>
                                    <img src="images/arr2.gif" />&nbsp;<span class="heading">Contact Information:</span>
                                </tr>
                                <tr>
                                    <td colspan=1 class="marginheight">
                                    <strong>Contact Name</strong>
                                    </td>
                                    <td colspan=2 class="marginheight"><input type="text" name="contact_name" size=20>
                                    </td>
                                    <td colspan=2 class="marginheight"><input type="submit" value="Submit"/>
                                    </td>
                                </tr>
                                <tr class="marginheight">
                                    <td class="marginheight">
                                    <strong>Email</strong><span class="blue">*</span>
                                    </td>
                                    <td class="marginheight">
                                    <input type="text" name="email_home" size=20>
                                    &nbsp;
                                    </td>
                                    <td class="marginheight">
                                    <strong>Phone</strong><span class="blue">*</span>
                                    </td>
                                    <td class="marginheight">
                                    <input type="text" name="phone_work">
                                    </td>
                                <p/>
                                </tr>
                                <tr><td colspan=4 class="marginheight">
                                    <img src="images/arr2.gif" />&nbsp;<span class="heading">Travel Information:</span>
                                </tr>
                                <tr>
                                    <td class="marginheight">
                                    <strong>Depart Airport</strong><span class="blue">*</span>
                                    </td>
                                    <td class="marginheight"><input type="text" name="depart_airport">
                                    &nbsp;
                                    </td>
                                    <td class="marginheight">
                                    <strong>Arrive Airport</strong><span class="blue">*</span>
                                    </td>
                                    <td class="marginheight">
                                    <input type="text" name="arrive_airport">
                                    </td>
                                </tr>
                                <tr>
                                    <td class="marginheight">
                                    <strong>Start Date</strong><span class="blue">*</span>
                                    </td>
                                    <td class="marginheight"><input type="text" name="depart_date">
                                    &nbsp;
                                    </td>
                                    <td class="marginheight">
                                    <strong>Return Date</strong><span class="blue">*</span>
                                    </td>
                                    <td class="marginheight">
                                    <input type="text" name="return_date">
                                    </td>
                                </tr>
                                </table>
                                <table width=100%>
                                <tr>
                                    <td class="marginheight">
                                    <strong>Flexible dates or nearby airports</strong>
                                    </td>
                                    <td class="marginheight"><input type="text" name="flexible_dates_airports">
                                    </td>
                                </tr>
                                <tr>
                                    <td class="marginheight">
                                    <strong>Prefer or avoid these airlines/airports</strong>
                                    </td>
                                    <td class="marginheight"><input type="text" name="prefer_avoid_airlines_airports">
                                    </td>
                                </tr>
                                </table>
                                <table width=100%><tr><td class="marginheight" style="text-align: justify;">
                                <strong>Passenger Names as in passport (Please double check the spelling, provide child/ infant age in remarks)</strong>
                                </td></tr></table>
                                <table width=100%>
                                <tr>
                                    <td class="marginheight">
                                    </td>
                                    <td class="marginheight">
                                    <strong>Title</strong><span class="blue">*</span>
                                    </td>
                                    <td class="marginheight">
                                    <strong>First Name</strong><span class="blue">*</span>
                                    </td>
                                    <td class="marginheight">
                                    <strong>MI</strong><span class="blue">*</span>
                                    </td>
                                    <td class="marginheight">
                                    <strong>Last Name</strong><span class="blue">*</span>
                                    </td>
                                </tr>
                                <tr>
                                    <td class="marginheight"><strong>01</strong>
                                    </td>
                                    <td class="marginheight"><select name="pax1_title">
                                    <option value=""></option>
                                    <option value="Mr">Mr</option>
                                    <option value="Mrs">Mrs</option>
                                    <option value="Ms(ADT)">Ms</option>
                                    <option value="Dr">Dr</option>
                                    <option value="Master(Child)">Master(Child)</option>
                                    <option value="Miss(Child)">Miss(Child)</option>
                                    <option value="Master(Infant)">Master(Infant)</option>
                                    <option value="Miss(Infant)">Miss(Infant)</option>
                                    </select>
                                    &nbsp;
                                    </td>
                                    <td class="marginheight">
                                    <input type="text" name="pax1_first_name" size=15>
                                    </td>
                                    <td class="marginheight">
                                    <input type="text" name="pax1_middle_name" size=2>
                                    </td>
                                    <td class="marginheight">
                                    <input type="text" name="pax1_last_name" size=15>
                                    </td>
                                </tr>
                                <tr>
                                    <td class="marginheight"><strong>02</strong>
                                    </td>
                                    <td class="marginheight"><select name="pax2_title">
                                    <option value=""></option>
                                    <option value="Mr">Mr</option>	
                                    <option value="Mrs">Mrs</option>
                                    <option value="Ms(ADT)">Ms</option>
                                    <option value="Dr">Dr</option>
                                    <option value="Master(Child)">Master(Child)</option>
                                    <option value="Miss(Child)">Miss(Child)</option>
                                    <option value="Master(Infant)">Master(Infant)</option>
                                    <option value="Miss(Infant)">Miss(Infant)</option>
                                    </select>
                                    &nbsp;
                                    </td>
                                    <td class="marginheight">
                                    <input type="text" name="pax2_first_name" size=15>
                                    </td>
                                    <td class="marginheight">
                                    <input type="text" name="pax2_middle_name" size=2>
                                    </td>
                                    <td class="marginheight">
                                    <input type="text" name="pax2_last_name" size=15>
                                    </td>
                                </tr>
                                <tr>
                                    <td class="marginheight"><strong>03</strong>
                                    </td>
                                    <td class="marginheight"><select name="pax3_title">
                                    <option value=""></option>
                                    <option value="Mr">Mr</option>
                                    <option value="Mrs">Mrs</option>
                                    <option value="Ms(ADT)">Ms</option>
                                    <option value="Dr">Dr</option>
                                    <option value="Master(Child)">Master(Child)</option>
                                    <option value="Miss(Child)">Miss(Child)</option>
                                    <option value="Master(Infant)">Master(Infant)</option>
                                    <option value="Miss(Infant)">Miss(Infant)</option>
                                    </select>
                                    &nbsp;
                                    </td>
                                    <td class="marginheight">
                                    <input type="text" name="pax3_first_name" size=15>
                                    </td>
                                    <td class="marginheight">
                                    <input type="text" name="pax3_middle_name" size=2>
                                    </td>
                                    <td class="marginheight">
                                    <input type="text" name="pax3_last_name" size=15>
                                    </td>
                                </tr>
                                <tr>
                                    <td class="marginheight"><strong>04</strong>
                                    </td>
                                    <td class="marginheight"><select name="pax4_title">
                                    <option value=""></option>
                                    <option value="Mr">Mr</option>
                                    <option value="Mrs">Mrs</option>
                                    <option value="Ms(ADT)">Ms</option>
                                    <option value="Dr">Dr</option>
                                    <option value="Master(Child)">Master(Child)</option>
                                    <option value="Miss(Child)">Miss(Child)</option>
                                    <option value="Master(Infant)">Master(Infant)</option>
                                    <option value="Miss(Infant)">Miss(Infant)</option>
                                    </select>
                                    &nbsp;
                                    </td>
                                    <td class="marginheight">
                                    <input type="text" name="pax4_first_name" size=15>
                                    </td>
                                    <td class="marginheight">
                                    <input type="text" name="pax4_middle_name" size=2>
                                    </td>
                                    <td class="marginheight">
                                    <input type="text" name="pax4_last_name" size=15>
                                    </td>
                                </tr>
                                <tr>
                                    <td class="marginheight"><strong>05</strong>
                                    </td>
                                    <td class="marginheight"><select name="pax5_title">
                                    <option value=""></option>
                                    <option value="Mr">Mr</option>
                                    <option value="Mrs">Mrs</option>
                                    <option value="Ms(ADT)">Ms</option>
                                    <option value="Dr">Dr</option>
                                    <option value="Master(Child)">Master(Child)</option>
                                    <option value="Miss(Child)">Miss(Child)</option>
                                    <option value="Master(Infant)">Master(Infant)</option>
                                    <option value="Miss(Infant)">Miss(Infant)</option>
                                    </select>
                                    &nbsp;
                                    </td>
                                    <td class="marginheight">
                                    <input type="text" name="pax5_first_name" size=15>
                                    </td>
                                    <td class="marginheight">
                                    <input type="text" name="pax5_middle_name" size=2>
                                    </td>
                                    <td class="marginheight">
                                    <input type="text" name="pax5_last_name" size=15>
                                    </td>
                                </tr>
                                </table>
                                <table width=100%>
                                <tr>
                                <td class="marginheight">
                                <input type="radio" name="request_type" value="fare quote only" checked> Fare Quote only<br>
                                </td></tr>
                                <tr><td>
                                <input type="radio" name="request_type" value="block seats on exact dates requested"> Block seats on exact dates and airlines requested
                                </td></tr>
                                </table>
                                <p/>
                                <table width=100%>
                                <tr>
                                <td class="marginheight" width=100%>
                                <img src="images/arr2.gif" />&nbsp;<span class="heading">Additional Info/ Request :</span>
                                <br>
                                <textarea style="width:100%" rows=4 name="notes"></textarea>
                                </td></tr>
                                </table>
                                <input type="submit" value="Submit"/>
                            </div>
                        </form>
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